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INTEDEM-01 LWANG2
<br /> CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY)
<br /> 5/15/2025
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
<br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
<br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on
<br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER License#OC36861 CONTACT LASpec Certs
<br /> NAME:
<br /> Los Angeles-Alliant Insurance Services,Inc. PHONE FAX
<br /> 333 S Hope St Ste 3700 (A/C,No,Ext): (A/C,No):
<br /> Los Angeles,CA 90071 E-MAIL-ADDRESS:LASpecCerts@alliant.com
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURERA:Starr Surplus Lines Insurance Company 13604
<br /> INSURED INSURER B:Starr Indemnity& Liability Company 38318
<br /> Integrated Demolition and Remediation,Inc. INSURER C:
<br /> 421 E Cerritos Avenue INSURER D:
<br /> Anaheim,CA 92805
<br /> INSURER E
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD MWDD/YYYY MM/DD/YYYY
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE DWI X OCCUR 1000067641251 5/21/2025 5/21/2026 DAMAGE TO RENTED 100,000
<br /> X X PREMISES Ea occurrence $
<br /> MED EXP(Any oneperson) $ 25,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY X JECT1:1 LOC PRODUCTS-COMP/OPAGG $ 2,000,000
<br /> OTHER: $
<br /> B AUTOMOBILE LIABILITY CMBINED SINGLE LIMIT 1,000,000
<br /> EaO accident $
<br /> X ANY AUTO X X 1000638121251 5/21/2025 5/21/2026 BODILY INJURY Perperson) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident $
<br /> A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000
<br /> X EXCESS LIAB CLAIMS-MADE 1000337817251 5/21/2025 5/21/2026 AGGREGATE $ 10,000,000
<br /> DED RETENTION$ $
<br /> B WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY X STATUTE ER
<br /> 100 0004638 5/21/2025 5/21/2026 1,000,000
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $
<br /> OFFICER/MEMBER EXCLUDED? N/A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> A Poll/Prof 1000067641251 5/21/2025 5/21/2026 locc.$1,000,000;Agg 2,0007000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Re:Job#2025-060AD,City of Santa Ana On Call Demo and Abatement Services
<br /> The City of Santa Ana,its City Council,officers,officials,employees,agents,and volunteers are included as Additional Insured as respects Liability arising
<br /> out of operations(work)performed by or on behalf of the Named Insured in accordance with the policy provisions of the General Liability and Automobile
<br /> Liability policies.The General Liability evidenced herein is Primary and Non-Contributory to other insurance available to the Additional Insured,but only in
<br /> accordance with the policy provisions.Waiver of Subrogation applies as required by contract in accordance with the policy provisions of the General Liability,
<br /> Automobile Liability and Workers'Compensation policies. Tu Tran Digitally ned by Tu
<br /> Tran Ngguye"yen
<br /> Nguyen Date:2025.-on. APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 4:37 pm, May 15, 2025
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ty ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Attention: Planning and Building Agency
<br /> 20 Civic Center Plaza, M-19
<br /> Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE
<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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